The undersigned,
______________________________ of _________________ County,
State of ________________ ( "Trustee" ), hereby
declares that any and all property and interest in property that
may be transferred to him as Trustee hereunder, shall be held in
trust, for the sole benefit of the beneficiaries for the time
being upon the terms set forth. The term "Trustee"
wherever used shall mean the Trustee or Trustees named in this
document and such person or persons who hereafter are serving as
Trustee or Trustees hereunder. The rights, powers, authority and
privileges granted hereunder to the Trustee shall be exercised
by such person or persons subject to the provisions hereof.

BENEFICIARIES: The
term "Beneficiaries" wherever used shall mean the
beneficiary or beneficiaries listed in the Schedule of
Beneficial Interests this day, executed and filed with the
Trustee, or in the revised Schedule of Beneficial Interests, if
any, from time to time executed and filed with the Trustee. The
Trustee shall not be affected by any assignment or transfer of
any beneficial interest until receipt by the Trustee of notice
that such assignment or transfer has in fact been made and a
revised Schedule of Beneficial Interests shall have been duly
executed and filed with the Trustee. Any Trustee may without
impropriety become a beneficiary hereunder and exercise all
rights of a beneficiary with the same effect as though he were
not a Trustee.

DUTIES OF TRUSTEE:
The Trustee shall hold the principal of this Trust for the
benefit of the beneficiaries, and shall immediately pay over any
income received to the beneficiaries in proportion to their
respective interests.

POWERS OF THE
TRUSTEE: The Trustee shall have no power to deal in or with the
Trust Estate except as directed by the beneficiaries. When, as,
if and to the extent specifically directed by the beneficiaries,
any one of the Trustees shall have the power to:

Buy or otherwise
acquire, to hold, to exchange or partition, to sell at public or
private sale, and to mortgage, pledge or otherwise encumber or
dispose of all or any part of the Trust Estate; and to execute
any and all deeds, promissory notes, mortgages and other
instruments necessary or appropriate therefore;

To lease and sublease
all or any part of the Trust Estate for such terms and on such
terms as the Trustee deems advisable;

Contest or compromise
any claims in favor of or against or in any way relating to the
Trust Estate. Any and all instruments executed pursuant to such
directions may create obligations extending over any periods of
time including periods beyond any possible termination date of
the Trust. Notwithstanding any provisions contained herein, no
Trustee shall be required to take any action which will, in the
opinion of such Trustee, involve him in any personal liability
unless first indemnified to his satisfaction. Any person dealing
with the Trustee shall be fully protected.

TERMINATION: The
Trust may be terminated any time, by one or more of the
beneficiaries, by notice in writing to the Trustee, but such
termination shall only be effective when a certificate thereof
signed and acknowledged by a Trustee hereunder, shall be
recorded with ____________________ County, __________ (State)
Registry of Deeds; and the Trust shall terminate in any event
twenty (20) years from the date hereof. In case of any such
termination, the Trustee shall transfer and convey the specific
assets constituting the Trust Estate, subject to any leases,
mortgages, contracts or other encumbrances on the Trust Estate,
to the then beneficiaries as tenants in common in proportion to
their respective interests hereunder.

RESIGNATION AND
APPOINTMENT OF SUCCESSOR TRUSTEES: Any Trustee hereunder may
resign by written instrument signed and acknowledged by such
Trustee and recorded with the Registry. Succeeding or additional
Trustees may be appointed or any Trustee may be removed by an
instrument or instruments in writing signed by all the
beneficiaries, provided in each case that such instrument or
instruments, or a certificate signed by any Trustee naming the
Trustee or Trustees appointed or removed, and in the case of any
appointment, the acceptance in writing by the Trustee or
Trustees appointed, shall be recorded with the Registry. Upon
the appointment of any succeeding or additional Trustee, the
title to the Trust Estate shall thereupon and without the
necessity of any conveyance be vested in said succeeding or
additional Trustee jointly with the remaining Trustee or
Trustees, if any. Each succeeding and additional Trustee shall
have the rights, powers, authority and privileges as if named as
an original Trustee hereunder. No Trustee shall be required to
furnish bond.

AMENDMENT: This
Declaration of Trust may be amended from time to time by an
instrument in writing signed by all the beneficiaries and
acknowledged by one or more of the beneficiaries, provided in
each case that the instrument of amendment, or a certificate by
any Trustee setting forth the terms of such amendment, shall be
recorded with the Registry prior to the amendment being
effective as to any party who does not have actual notice
thereof.

TRUSTEE LIABILITY;
RELIANCE OF PURCHASERS AND OTHERS: No Trustee hereunder shall be
liable for any error of judgment or for any loss arising out of
any act or omission in good faith, but shall be responsible only
for his/her own willful breach of trust. No license of court
shall be requisite to the validity of any transaction entered
into by the Trustee. No purchaser, transferee, pledgee,
mortgagee or other lender shall be under any obligation to see
to the application of the purchase money or of any money or
property loaned or delivered to any Trustee or to see that the
terms and conditions of this Trust have been complied with.
Every agreement, lease, deed, mortgage, note, or other
instrument or document executed or action taken by any one
Trustee appearing as a Trustee hereunder from the records of the
Registry, shall be conclusive evidence in favor of every person
relying thereon or claiming thereunder that at the time of the
delivery thereof or of the taking of such action this Trust was
in full force and effect, that the execution and delivery
thereof or taking of such action was duly authorized, empowered
and directed by the beneficiaries, and that such instrument or
document or action is valid, binding and legally enforceable.
Any person dealing with the Trust Estate or the Trustee may
always rely without inquiry on the certificate signed by any
Trustee appearing as a Trustee hereunder from the records of the
Registry as to whom is the Trustee or whom are the Trustees or
the beneficiaries hereunder, or as to the authority of the
Trustee to act, or as to the existence or nonexistence of any
fact or facts which constitute conditions precedent to acts by
the Trustee or which are in any other manner germane to the
affairs of the Trust.

NO PERSONAL
LIABILITY: No Trustee or beneficiary of this Trust shall be held
personally or individually liable for any of the obligations
incurred or entered into on behalf of the Trust and each person
who deals with the Trustee shall look solely to the Trust Estate
for satisfaction of any claims which such person may have
against the Trust.

RECORDATION: The term
"Registry" as used herein shall mean the ___________
County, _________________________ (State) Registry of Deeds;
provided that if this Declaration of Trust is recorded or filed
for registration in any other public office within or without
the ______________ (State), any person dealing with portions or
all of the Trust Estate as to which documents or instruments are
recorded or filed for registration in such other public office
in order to constitute notice to persons not parties thereto may
rely on the state of the record with respect to this Trust in
such other public office, and with respect to such portions or
all of the Trust Estate the term "Registry" as used
herein shall also mean such other public office.

MISCELLANEOUS:
Whenever applicable, the use of the singular number herein shall
include the plural and the use of the plural shall include the
singular number. The use of the masculine gender shall also
include the feminine, wherever applicable. All paragraph titles
are supplied for convenience of reference only and shall not
govern the meaning or interpretation of this Declaration of
Nominee Trust.

WITNESS the execution
hereof under seal at ____________ by the undersigned this
_________________ day of _______________________ (month), ____
(year).

______________________________

Trustee

STATE OF
____________________

Then personally
appeared the above-named ___________________________________ and
acknowledged the foregoing instrument to be his free act and
deed, before me,

________________________________

Notary Public

My Commission
Expires: __________________________

ACCEPTANCE
OF APPOINTMENT AS TRUSTEE

I,
_______________________________, hereby accept appointment as
Trustee of the ____________________ Trust and hereby agree to
exercise faithfully any and all rights, powers, authority and
privileges granted.

Signed this
_____________ day of __________________ (month), ____ (year).

__________________________________

Signature

Witnessed by:

__________________________________

Warning:

These forms are
provided AS IS. They may not be any good. Even if they are good
in one jurisdiction, they may not work in another. And the facts
of your situation may make these forms inappropriate for you.
They are for informational purposes only, and you should consult
an attorney before using them.